Mahmut AŞIRDİZER, Mehmet Sunay YAVUZ, Yıldıray ZEYFEOĞLU, Tarık ULUÇAY, Yeşim TUYJİ, Mehmet Gökhan DİZDAR

Medico-legal importance of nonsexually transmitted condyloma acuminatum in two children

Giriş: Kondiloma aküminatanın etkeni insan papillomavirüsü (HPV) dür. Kondiloma aküminata erişkinlerde yaygın olarak cinsel yolla bulaşan hastalıklardan biridir. Çocuklarda görülmesi nadir olup, cinsel istismara eşlik edebilmektedir. Olgular: Bu makalede, cinsel istismarı kurbanı olarak adli muayene için gönderilmiş, kondiloma aküminatalı iki çocuk olgu sunulmuştur. Biz bu olguların her ikisinde cinsel istismarın adli-tıbbi kanıtlarının bulunmadığı sonucuna ulaştık. Olgularda cinsel yol dışındaki olası bulaşma yolları araştırıldı. Tartışma: Türk Ceza Kanunu’nun 280. maddesine göre, klinisyenler kondiloma aküminatalı tüm çocukları, şüpheli cinsel istismar olguları olarak yasal mercilere bildirmekle yükümlüdür. Bu genellikle bir sosyal probleme yol açmakta; çocukların babaları veya erkek kardeşleri yasal merciler ve aile bireyleri önünde şüpheli olarak istenmeyen davranışlara maruz kalmaktadırlar. Sonuç olarak, benzer olgularla karşılaşan doktorların, öncelikle olguları adli tıp bölümlerine danıştıktan sonra adli tıp uzmanının olayın çocuğun cinsel istismarı kararını takiben adli makamlara bildirmesi gerektiğini düşünmekteyiz.

İki çocukta cinsel yol dişinda bulaşmiş kondiloma akuminata’nin adli tibbi önemi

Introduction: Human papillomavirus (HPV) is major agent of condyloma acuminatum. Condyloma acuminatum is one of the most common sexually transmitted diseases in adults, but its presence in children is rare and could be associated with sexual abuse. Cases: In this article, two child cases with condyloma acuminatum who were sent for forensic examination as victims of child sexual abuse were presented. We concluded that there was not medico-legal evidence of sexual abuse in both cases. Probable transmission routes were investigated and discussed in both cases.Discussion: According to article 280 of Turkish Penal Code, clinicians have declared all children with condyloma acuminatum to authorities to be suspected sexual abuse case; this usually causes a social problem and children’s fathers or brothers generally have been exposed to dealings to be a suspicious in front of judicial authorities and family members. In conclusion, we think that physicians who came across with same cases, firstly must consulted with forensic medicine departments, later they must declared to authorities if forensic scientists decided to a child sexual abuse.

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